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微槽对正畸微螺钉成功率及软组织适应性的影响

Effects of microgrooves on the success rate and soft tissue adaptation of orthodontic miniscrews.

作者信息

Kim Tae-Woo, Baek Seung-Hak, Kim Jong-Wan, Chang Young-Il

机构信息

Department of Orthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Korea.

出版信息

Angle Orthod. 2008 Nov;78(6):1057-64. doi: 10.2319/101707-496.1.

Abstract

OBJECTIVE

To evaluate the effect of microgrooves on orthodontic miniscrews in terms of success rate and soft tissue adaptation in animal experiments.

MATERIALS AND METHODS

The sample consisted of a non-microgroove (NMG) group and a microgroove group (MG; 50 microm pitch and 10 microm depth microgroove on the upper surface of the miniscrew). Miniscrews of 1.6 mm diameter and 6.0 mm length were placed into beagle dogs. Histomorphometric analysis in each group focused on bone-to-implant contact (BIC) and the bone area (BA) of pressure and tension sides. Independent and paired t-tests were completed for statistical analysis.

RESULTS

The success rate was found to be higher in the MG group than in the NMG group. The MG group showed significantly higher BIC on the pressure side when compared with the NMG group (P < .01). Although the NMG group showed significantly lower BIC on the pressure side than on the tension side at the upper side of the miniscrew (P < .01), the MG group revealed no significant differences between BIC on pressure and tension sides. The MG group generally exhibited perpendicular or circular alignment of the gingival connective tissue fiber with the miniscrew; the NMG group showed parallel alignment.

CONCLUSIONS

The orthodontic load may affect bone remodeling on the pressure side of the miniscrew and may affect stability. The microgroove could exert some positive effects on soft tissue adaptation and bone healing.

摘要

目的

在动物实验中,从成功率和软组织适应性方面评估微槽对正畸微螺钉的影响。

材料与方法

样本包括一个无微槽(NMG)组和一个微槽组(MG;微螺钉上表面有50微米螺距和10微米深度的微槽)。将直径1.6毫米、长度6.0毫米的微螺钉植入比格犬体内。每组的组织形态计量学分析重点关注骨与种植体接触(BIC)以及压力侧和张力侧的骨面积(BA)。完成独立样本t检验和配对t检验进行统计分析。

结果

发现MG组的成功率高于NMG组。与NMG组相比,MG组在压力侧显示出显著更高的BIC(P <.01)。尽管NMG组在微螺钉上侧压力侧的BIC显著低于张力侧(P <.01),但MG组在压力侧和张力侧的BIC之间未显示出显著差异。MG组牙龈结缔组织纤维与微螺钉总体呈垂直或圆形排列;NMG组呈平行排列。

结论

正畸负荷可能影响微螺钉压力侧的骨重塑并可能影响稳定性。微槽可能对软组织适应性和骨愈合产生一些积极影响。

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